Department of Neurosurgery, University Medicine Greifswald, Sauerbruchstrasse, Greifswald, Germany.
Department of Neurosurgery, Cairo University, Cairo, Egypt.
Childs Nerv Syst. 2023 Dec;39(12):3435-3443. doi: 10.1007/s00381-023-06054-4. Epub 2023 Jul 4.
Reaching a tumor within the third ventricle is challenging, and planning an accessible trajectory is crucial without injuring the surrounding structures. We report a 5-year-old boy presented with headache and a seizure where sequential MRI brain studies in a short time period revealed a rapid growing immature teratoma within the third ventricle with hydrocephalic changes. Several management procedures were performed for CSF diversion and medical treatment of the tumor with chemotherapy and stem cell therapy. The tumor was rapidly growing, and surgical excision was decided. Total resection was achieved via endoscope-assisted microsurgical transcallosal approach. Seven years after surgery, the patient experienced no recurrence of the tumor with a favorable clinical condition.
We report a rare case of posterior third ventricular immature teratoma where the endoscope-assisted microsurgical technique was implemented with favorable long-term postoperative outcome.
到达第三脑室的肿瘤是具有挑战性的，而规划一条可进入的路径而不损伤周围结构至关重要。我们报告了一例 5 岁男孩，他因头痛和癫痫就诊，在短时间内进行的连续 MRI 脑部研究显示第三脑室中有一个快速生长的未成熟畸胎瘤，并伴有脑积水改变。为了进行脑脊液引流和对肿瘤进行化疗和干细胞治疗，进行了多次管理程序。肿瘤生长迅速，决定进行手术切除。通过内镜辅助显微镜经胼胝体入路实现了完全切除。手术后 7 年，患者无肿瘤复发，临床状况良好。
我们报告了一例罕见的后部第三脑室未成熟畸胎瘤病例，采用内镜辅助显微镜技术，术后长期结果良好。
